chapters 25-29

A 48-year-old male has a suspected open-book pelvic fracture. He is conscious but restless, and his skin is pale and diaphoretic. His respirations are 22 breaths/min and his pulse rate is 120 beats/min. There is no external bleeding noted. The EMT should:

apply a compression device around his pelvis.

A patient is bleeding severely from a severed femoral artery high in the groin region. Which of the following would most likely control the bleeding?

apply direct pressure

1A 12-year-old male jumped approximately 12 feet from a tree and landed on his feet. He complains of pain to his lower back. What injury mechanism is MOST likely responsible for his back pain?

transmit up and through Not yet answered

A 4-year-old female has a peanut lodged in the external auditory canal of her right ear. You should:

transport

A utility worker was trimming branches and was electrocuted when he accidentally cut a high-power line. He fell approximately 20 feet and is lying unresponsive on the ground; the power line is lying across his chest. You should:

turn off the powerline then assess

According to the rule of palm method for estimating the extent of a patient's burns, the palm of the patient's hand is equal to _____ of his or her total body surface area.

1 percent

In which of the following situations would external bleeding be the most difficult to control?

140/90

A 21-year-old male was working in an auto repair shop and sustained radiator burns to the anterior aspect of both arms and to his anterior chest. According to the rule of nines, this patient has burns that cover _____ of his body surface area.

18 percent

A 5-year-old female pulled a pot of boiling water from the stove. She has superficial and partial-thickness burns to her head, face, and anterior trunk. What percentage of her body surface area has been burned?

30 percent

During your assessment of a patient with a head injury, you note that he opens his eyes when you pinch his trapezius muscle, is mumbling, and has his arms curled in toward his chest. You should assign him a GCS score of

7

Not yet answered Your patient has a Glasgow Coma Scale (GCS) score of 13, a systolic blood pressure of 80 mm Hg, and a respiratory rate of 8 breaths/min. His revised trauma score (RTS) is

9

A 33-year-old male sustained an abdominal evisceration to the left lower quadrant of his abdomen after he was cut with a large knife. After appropriately managing his ABCs and assessing him for other life-threatening injuries, how should you care for his wound?

Cover it with moist, sterile gauze and secure with an occlusive dressing

Common signs and symptoms of an airway burn include all of the following, except:

Not having issues with your chest

During an altercation in a bar, two patrons got into a fist fight. The first patient, a 44-year-old female, was struck in the mouth and refuses EMS care. The second patient, a 39-year-old female, has a small laceration to her left knuckle and also refuses EMS care. Which of the following statements regarding this scenario is correct?

The first one is at risk of infection

During your assessment of a patient who experienced a blast injury, you note that he has a depressed area to the front of his skull. This injury MOST likely occurred:

The secondary collision

4A 40-year-old unrestrained female impacted the steering wheel of her vehicle with her chest when she hit a tree while traveling at 45 mph. She is conscious and alert, but is experiencing significant chest pain and shortness of breath. Which of the following injuries is the LEAST likely?

a head injury

A 39-year-old male was struck in the head by a baseball during a game. He is confused and has slurred speech. He has a large hematoma in the center of his forehead and cannot remember the events preceding the injury. after maintaing suspine you should:

administer high-flow oxygen

During your assessment of a 22-year-old male who was assaulted, you note widespread contusions and abrasions to his face, chest, and abdomen. His pulse is rapid and weak, and his skin is cool and clammy.

administer oxygen and prepare for rapid transport

As you approach a young male who was involved in an industrial accident, you note that his eyes are closed and that he is not moving. You can see several large contusions to his arms, a laceration to his forehead with minimal bleeding, and a closed deformity to his right leg. You should:

aed

When a driver is in a car equipped with an airbag, but is not wearing a seatbelt, he or she will MOST likely strike the __________ when the airbag deploys upon impact. door Not yet answered Which of the following injuries would MOST likely occur as a direct result of the third collision in a motor vehicle crash?

arotic rupture

A young male sustained a gunshot wound to the abdomen during an altercation. As your partner is assessing and managing his airway, you should control the obvious bleeding and then:

assess for an exit wound

A 22-year-old male was kicked in the abdomen multiple times during an assault. He is conscious but restless and his pulse is rapid. His skin is cold and moist. Your assessment reveals a large area of bruising to the right upper quadrant of his abdomen. The most appropriate treatment for this patient includes:

cab and transport

All of the following should be addressed during the primary assessment except:

capillary bleeding

A young male was shot in the abdomen by an unknown type of gun. Law enforcement personnel have ensured that the scene is safe. The patient is semiconscious, has shallow breathing, and is bleeding externally from the wound. As you control the external bleeding, your partner should:

check on airway

Which of the following is NOT one of the three types of collisions in a typical impact in a motor vehicular crash?

collision of two passenger bodies within the same vehicle

A 30-year-old female presents with redness, inflammation, and pain to her left eye. During your assessment, you note that she is having difficulty keeping her eyes open. You should suspect that she is experiencing:

conjuctivitus

A construction worker fell approximately 30 feet and landed in a pile of steel rods. Your assessment reveals that he is pulseless and apneic and has a 10-foot steel rod impaled in his left leg. You should

control the bleeding , stabalize the steel rod by cutting off, cpr then transport

burns are classified according to

depth

which of the following isn't considered a basic technique when controlling the bleeding

direct pressure

A 38-year-old male was electrocuted while attempting to wire a house. Your assessment reveals that he is unresponsive, pulseless, and apneic. A coworker has shut off the power to the house. You should:

give cpr and aed

Following a blunt injury to the head, a 22-year-old female is confused and complains of a severe headache and nausea. On the basis of these signs and symptoms, you should be MOST concerned with the possibility of:

head injury possible brain bleed

A 43-year-old man is experiencing a severe nosebleed. His blood pressure is 190/110 mm Hg and his heart rate is 90 beats/min and bounding. Preferred treatment for this patient includes:

hold pressure on nose and hold head forwards

ago. He denies a history of trauma. His blood pressure is 90/50 mm Hg and his pulse is 120 beats/min and thready. You should be most suspicious that this patient is experiencing

intestinal bleeding

Approximately 25% of severe injuries to the aorta occur during:

laterals

A 29-year-old male has an anterior nosebleed after he was accidentally elbowed in the nose. He is conscious and alert with adequate breathing. The most appropriate care for this patient includes

lean him forward pinching his nostrils

Which of the following statements regarding low-energy penetrating injuries is correct?

low energy pentering energy is more focused to one area pg 913

Burns to pediatric patients are generally considered more serious than burns to adults because:

more surface area relative to the total mass

Two of the MOST common mechanisms of injury for blunt trauma are:

motor vehichle collisions and falls

While en route to a major motor vehicle crash, an on-scene police officer advises you that a 6-year-old male who was riding in the front seat is involved. He further states that the child was only wearing a lap belt and that the airbag deployed. On the basis of this information, you should be MOST suspicious that the child has experienced:

neck and face injuries

During the normal wound-healing process, bleeding might occur from even a minor injury because:

new cappilaries that stem from intact capillaries are delicate and take time to become stable as the preexisting capillaries

A 44-year-old male sustained a laceration to his left ear during a minor car accident. Your assessment reveals minimal bleeding. Appropriate care for this injury includes:

padding between the ear and the scalp

After applying a pressure dressing to a laceration on a patient's arm, you notice that blood is slowly beginning to saturate it. You should

place additional dressings over the wound

Which of the following occurs after tissues are injured?

platelets collect at the injury site

3A 30-year-old male sustained a stab wound to the neck when he was attacked outside a nightclub. During your assessment, you should be MOST alert for:

potential airway comprimise

A 56-year-old male has an incomplete avulsion to his right forearm. After controlling any bleeding from the wound, you should:

put it back to where it needs to be

Not yet answered A 50-year-old male was splashed in the eyes with radiator fluid when he was working on his car. During your assessment, he tells you that he wears soft contact lenses. You should:

remove lens and irragate

An 8-year-old male was bitten by a stray dog. He has a large laceration to the back of his left hand, which your partner covered with a sterile dressing and bandage. In addition to transporting the child to the hospital, you should:

report

During your assessment of a patient who was shot in the abdomen, you notice a large entrance wound with multiple small puncture wounds surrounding it. This wound pattern is most consistent with a:

shotgun

Which of the following statements regarding gunshot wounds is correct?

speed of the bullet

After blunt trauma to the abdomen, a 21-year-old female complains of diffuse abdominal pain and pain to the left shoulder. Your assessment reveals that her abdomen is distended and tender to palpation. On the basis of these findings, you should be most suspicious of injury to the:

spleen

A 40-year-old male was in his woodworking shop when he felt a sudden, sharp pain in his left eye. Your assessment reveals a small splinter of wood embedded in his cornea. You should:

stabilize the object cover both of his eyes and transport him to the hospital

2A 15-year-old female was struck by a small car while riding her bicycle. She was wearing a helmet and was thrown to the ground, striking her head. In addition to managing problems associated with airway, breathing, and circulation, it is MOST important for you to:

stabilize the suspine

A 30-year-old female was robbed and assaulted as she was leaving a nightclub. She has massive facial trauma and slow, gurgling respirations. As your partner manually stabilizes her head, you should:

suction orophranxy

A 52-year-old unrestrained female struck the steering wheel with her face when her truck collided with another vehicle. She has obvious swelling to her face and several dislodged teeth. A visual exam of her mouth reveals minimal bleeding. She is conscious and alert with a blood pressure of 130/80 mm Hg, a pulse of 110 beats/min, and respirations of 22 breaths/min with adequate tidal volume. should:

suspine the patient then dislodge the teeth then we transport

5A small compact car was involved in a rollover crash. As you are approaching the vehicle, you note that the roof is significantly collapsed. The patient, a 29-year-old male, is complaining of severe pain in his neck and to the top of his head as well as numbness and tingling in his extremities. Witnesses who removed the patient from the vehicle state that he was wearing his seatbelt. What injury mechanism is MOST likely responsible for this patient's condition

the compression of the roof

Passengers who are seated in the rear of a vehicle and are wearing only lap belts have a higher incidence of injuries to the _____________ spine during a rear-end crash.lumbar and thoracic

thoracic and lumbar

A teenage boy who was involved in a bicycle accident has a puncture wound where the bicycle kickstand impaled his leg. The most appropriate method for treating this injury is to:

unbolt the kickstand in the book

A 30-year-old male experienced a crushing injury when his forearm was trapped between the back of a truck and a loading dock. Upon your arrival, the man's arm has been freed. Your assessment reveals that his arm is obviously deformed and swollen and is cold and pale. Further assessment reveals an absent radial pulse. You should be most concerned that this patient has:

use the sterile dressing

You arrive at the home of a 50-year-old female with severe epistaxis. As you are treating her, it is most important to recall that:

we dont want her to aspirate

Which of the following findings would be the most significant when assessing a patient with possible internal bleeding? a medication that they are taken The patient takes rivaroxaban

xeralto

While assessing a young male who was struck in the chest with a steel pipe, you note that his pulse is rapid and irregular

you should be most suspicious for damage to the heart